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目的探讨长脉冲可调脉宽1064nm Nd:YAG激光治疗婴幼儿头面部单纯性血管瘤及浅表混合性血管瘤的临床效果及分析。方法应用美国Candela激光公司生产的Gentle YAG 1064 nm激光,采用“最小激光凝固剂量”方法治疗婴幼儿头面部单纯性血管瘤及浅表混合性血管瘤,疗程1～3个,治疗结束后随访半年。结果 126名患儿经1～3次治疗痊愈率达到93.65%,总有效率99.21%。术后瘢痕发生率较低,仅为4.76%,且多为较浅表瘢痕,对容貌影响轻微。结论长脉冲可调脉宽1064nmNd:YAG激光治疗婴幼儿头面部单纯性血管瘤及浅表混合性血管瘤疗效较佳,外观恢复良好,起效快、疗程短、术后瘢痕发生率低、无远期不良反应、不影响患儿生长发育。
Objective To investigate the clinical effects and long-pulse adjustable pulse width 1064nm Nd: YAG laser treatment of infantile head and face simple hemangioma and superficial mixed hemangioma. Methods Gentle YAG 1064 nm laser produced by Candela Laser Company of the United States was used to treat 1 to 3 hemangiomas and superficial mixed hemangiomas in the head and face of infants with the method of “minimum laser coagulation dose”. After the treatment was over Follow-up for six months. Results 126 cases of children treated 1 to 3 times the cure rate reached 93.65%, the total effective rate was 99.21%. The incidence of postoperative scar low, only 4.76%, and mostly superficial scar, slight impact on the face. Conclusion Long pulse pulse width tunable 1064nm Nd: YAG laser treatment of head and face simple hemangioma and superficial mixed hemangioma in infants and young children better effect, the appearance of a good recovery, fast onset, short course of treatment, low incidence of postoperative scar, no Long-term adverse reactions, does not affect the growth and development of children.